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Medical Claims Liability - Narrative (Details) - USD ($)
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2024
Segment Reporting Information [Line Items]      
Amounts recorded as an adjustment to premium revenues related to minimum HBR and return of premium programs $ 21,000,000 $ 34,000,000  
Short-duration insurance contracts, Incurred but not reported and expected development on reported claims 13,510,000,000    
Premium deficiency reserve   178,000,000  
Medicare      
Segment Reporting Information [Line Items]      
Premium deficiency reserve   178,000,000  
Medicare | Medicare Advantage 2025      
Segment Reporting Information [Line Items]      
Premium deficiency reserve   $ 270,000,000 $ 92,000,000
Medicare | Medicare Advantage 2026      
Segment Reporting Information [Line Items]      
Premium deficiency reserve $ 0